Is 600CC - 650CC Too Big for Me and What Are the Risks?

I would be very unusal for me to place a 600cc implant.  This is large.  The risks with large implants include.


bottoming out

thinning of the breast tissue and skin

traction rippling

unnatural looking breast


The implant needs to match your body and breast dimensions, not just be big. 

 

The size of the implant is based on your chest wall and breast base measurement, taking into consideration the elasticity of the breast skin and sagging of the nipples. Your board certified plastic surgeon will make the size/volume recommendations for you. You said that you are going for the "unnatural look" , but worried about bottoming out and sagging. Well, you and your surgeon's choice of 600-650cc implants will guarantee you all that. I would consider a second opinion. It is easy to change your mind now and avoid several surgeries later. Good luck.

When considering any Cosmetic Plastic Surgery it is often all about reconciling what you want with what you can and should have. As other surgeons have commented, your chest and breast measurements are critical for planning and achieving optimal outcomes with breast augmentation surgery. An assessment of the quality of your tissue is also very important and can give the surgeon some ability to anticipate how your breast augmentation will look in the short term and estimate your risk for complications over the longer term. You have indicated that you " tried on the 600cc and it was looking a little small".   You are focusing on the short term outcome from your surgery and not placing appropriate emphasis on the risks associated with larger implants. This is always a concern for me. Even if you want a "fake" look you need to understand that your breasts will age and sag more quickly with larger implants and revisional surgeries will likely be more complicated and expensive than the original augmentation. Only your Plastic Surgeon can give you answers and perspective to these very important questions. Make sure you are making an informed decision.

Dr. Mosher

Plastic Surgeon

Larger implants increase the risk of complications such as implant malposition, which can be very difficult to correct longterm.  In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.

The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill

It is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.